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Journal of Pediatric Psychology, Vol. 26, No. 2, 2001, pp. 117-121
© 2001 Society of Pediatric Psychology


Brief Report

Predictors of Intentions to Use Tobacco Among Adolescent Survivors of Cancer

Vida L. Tyc, PhD1,2, Wendy Hadley, MS3 and Genea Crockett, MA1

1 St. Jude Children's Research Hospital, 2 University of Tennessee College of Medicine, 3 University of Memphis

All correspondence should be sent to Vida L. Tyc, Division of Behavioral Medicine, St. Jude Children's Research Hospital, 332 N. Lauderdale, Memphis, Tennessee 38105-2794. E-mail: vida.tyc{at}stjude.org .

Objective: To examine the relationship between knowledge of tobacco-related health risks, perceptions of vulnerability to these health risks, and future intentions to use tobacco in a sample of adolescent survivors of cancer.

Methods: Written self-report questionnaires were administered to 46 survivors, 10-18 years of age (61% males, 93.5% Caucasian).

Results: Overall, survivors were generally knowledgeable about tobacco-related health risks, perceived themselves to be vulnerable to these health risks, and reported low future intentions to use tobacco. Regression analyses indicated that demographic factors, treatment-related variables, knowledge, and perceived vulnerability explained 28% of the variance in intentions scores, F(6, 39) = 2.52, p <.05. Age and knowledge were significant predictors, indicating that older adolescent survivors and those with lower knowledge scores reported greater intentions to use tobacco.

Conclusions: Young survivors will benefit from risk counseling interventions that educate them about their susceptibility to specific tobacco-related health risks secondary to their cancer treatment. Intensive tobacco prevention programs that target older adolescents should be developed.

Key words: cancer survival; survivors; tobacco use; adolescents.


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